Patients' priorities regarding Female-to-Male gender affirmation surgery of the genitalia - A pilot study of 47 patients in Sweden

Josephine Jacobsson

Sahlgrenska University Hospital, at Gothennburg University

This presenter did not provide a biography.

My Andréasson

Sahlgrenska University Hospital, at Gothennburg University

This presenter did not provide a biography.

Gennaro Selvaggi

Sahlgrenska University Hospital, at Gothennburg University

Dr Selvaggi graduated as Medical Doctor and qualified as Plastic Surgeon, Cum Laude, at the Catholic University in Rome, Italy. He then completed a PhD in Gender Reassignment Surgery at the University of Ghent, Belgium. Dr Selvaggi graduated also with Distinction as MSc in Leadership and Managing in Healthcare Organisations at the Greenwich School of Management / Plymouth University (2011). Currently, Dr Selvaggi is Consultant Plastic Surgeon and Associate Professor, at the Sahlgrenska University Hospital in Gothenburg, Sweden, where he is in charge of Gender Reassignment Surgery.He has presented more than 101 times in international meetings, has published 53 peer-reviewed articles in the field of Gender Surgery, Reconstructive and Cosmetic Surgery, Experimental Surgery, and Ethics; he has written chapters in books of Gender Confirmation Surgery and Science and Ethics.Dr Selvaggi is now completing a MA in Bioethics from the School of Global Public Health at New York University.

Background

No surgical technique is reported to be the best option for gender affirmation surgery of the genitalia (GAS) in trans-men. Despite the fact that the patients’ preferences are central when choosing surgical technique, no... [ view full abstract ]

Aim(s)

To investigate patients’ priorities and preferences regarding GAS for transmen thereby enabling future research to be better aligned with patients' needs. [ view full abstract ]

Main Outcome Measures

From November 2015 to March 2016, 54 trans-men patients with the diagnosis of gender dysphoria, who were referred to Sahlgrenska University Hospital for discussing therapeutic steps (surgery and hormonal treatments), were... [ view full abstract ]

Methods

Out of the patients who reported on their gender identity, 76% identified themselves as male and 24% wrote other terms, such as “mostly male”, “intergender” and “non-binary”. [ view full abstract ]

Results

Gender identity had significant impact on patients’ preferences in two questions: the importance of vaginal removal, and the importance of having a penis that would be passable in places such as male dressing rooms. Both... [ view full abstract ]

Conclusion

Our series of patients presents a considerable heterogeneity among trans-men patients in both gender identity and preferences regarding GAS, which supports the need of several techniques. The patients must be accurately... [ view full abstract ]

Authors

Josephine Jacobsson (Sahlgrenska University Hospital, at Gothennburg University), My Andréasson (Sahlgrenska University Hospital, at Gothennburg University), Lars Kölby (Sahlgrenska University Hospital, at Gothennburg University), Anna Elander (Sahlgrenska University Hospital, at Gothennburg University), Gennaro Selvaggi (Sahlgrenska University Hospital, at Gothennburg University)

Topic Area

Oral & Poster Topics: Surgery

Session

OS-3E » Surgery III: Phalloplasty: Techniques, Outcomes, and Complications (11:15 - Saturday, 8th April, Aegean)

Presentation Files

The presenter has requested not to share their files.